NPI 1902126824

Ian James Kendrick, MD

Practitioner Surgery Physician Evanston, WY

Practice location

Address: 190 Arrowhead Dr, Evanston, WY 82930-9266
Phone: (307) 783-8255
Fax: (307) 783-8167
Mailing address: 196 Arrowhead Dr 6, Evanston, WY 82930-8752

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 10155A (WY)

Other Surgery providers in Wyoming →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence TL2981 (WY)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Wyoming →

Registry record

NPI: 1902126824
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2010
Record last updated: 21 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.